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Second Sunday Remembrance Launch Post-Survey
Thank you for attending the
Second Sunday Remembrance Launch
. Please complete this short survey at your earliest convenience.
How will this data be used?
This data will
only
be used for reporting purposes, and individual survey responses will not be shared.
Where can I review CNP's Privacy Policy?
Click here
to review CNP's Privacy Policy.
SECTION I: Attendee Demographic Information
*
1.
General Information About Where You Reside
(Required.)
City/Town
State/Province
ZIP/Postal Code
Country
*
2.
Age
(Required.)
Under 18
18-24
25-34
35-44
45-54
55-64
65+
*
3.
Race/Ethnicity (Choose all that apply)
(Required.)
American Indian, Native American, Native Hawaiian, or Alaska Native
Arab American or Middle Eastern
Asian, Asian American, or Pacific Islander
Black or African American
Caribbean
Latino/a, Latinx, Hispanic, or Spanish
White or Caucasian
Other (please specify)
*
4.
Gender (Choose all that apply)
(Required.)
Woman/Girl/Female
Man/Boy/Male
Transgender Man or Transmasculine Person
Transgender Woman or Transfeminine Person
Gender Nonbinary, Gender Nonconforming, Genderfluid
Other (please specify)
*
5.
Sexual Orientation (Choose all that apply)
(Required.)
Lesbian
Gay or Same Gender Loving
Bisexual
Queer
Pansexual
Heterosexual or Straight
Other (please specify)
*
6.
I am a person living with HIV.
(Required.)
Yes
No
Not Sure
Prefer not to answer
*
7.
Would you like to leave your name and email address, so we may contact you about CNP events and news?
* Selecting yes below will authorize CNP to add you to our mailing list.
(Required.)
Yes
No
